Organization Active NPI

Bryson Chiropractic

  • Chiropractor
  • Woodbridge, NJ
National Provider Identifier
1104086180
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00510200 Issued in NJ
Legal business name
BRYSON CHIROPRACTIC
Practice address
446 Rahway Ave
Woodbridge, NJ 07095-3305
Phone
(732) 596-0333
Fax
(732) 596-0335
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph A Bryson, D.C
Title
Owner/Chiropractor
Phone
(732) 596-0333

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00510200 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00998900 NJ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00713400 NJ

Addresses

Primary practice location

446 Rahway Ave
Woodbridge, NJ 07095-3305

Mailing address

446 Rahway Ave
Woodbridge, NJ 07095-3305
Phone (732) 596-0333

Other identifiers 1

IdentifierTypeStateIssuer
0027448MedicaidNJ

National Provider Directory

National Provider Directory

Locations

446 Rahway Ave
Woodbridge, NJ 07095
Phone (732) 596-0333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1104086180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 RAHWAY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953305",
            "telephone_number": "732-596-0333",
            "fax_number": "732-596-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 RAHWAY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953305",
            "telephone_number": "732-596-0333",
            "fax_number": "732-596-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYSON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "732-596-0333",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00510200",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00998900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00713400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027448",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.